Evidence map›Paper›PMID 38859998›Full record

ArticleFrontiers in surgery2024

The effect of an intraoperative patient-specific, surgery-specific haemodynamic algorithm in improving textbook outcomes for hepatobiliary-pancreatic surgery: a multicentre retrospective study.

Bradly Carp, Laurence Weinberg, Luke R Fletcher, Jake V Hinton, Adam Cohen, Hugh Slifirski, Peter Le, Stephen Woodford, Shervin Tosif, David Liu and 4 more

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Article in Frontiers in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Bradly Carp *Department of Anaesthesia, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Laurence Weinberg *Department of Anaesthesia, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Luke R FletcherDepartment of Anaesthesia, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Jake V HintonDepartment of Anaesthesia, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Adam CohenDepartment of Anaesthesia, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Hugh SlifirskiDepartment of Anaesthesia, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Peter LeDepartment of Anaesthesia, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Stephen WoodfordDepartment of Anaesthesia, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Shervin TosifDepartment of Anaesthesia, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
David LiuDepartment of Surgery, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Vijaragavan MuralidharanDepartment of Surgery, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Marcos V PeriniDepartment of Surgery, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Mehrdad NikfarjamDepartment of Surgery, Austin Health, University of Melbourne, Melbourne, VIC, Australia.
Dong-Kyu LeeDepartment of Anesthesiology and Pain Medicine, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The concept of a "textbook outcome" is emerging as a metric for ideal surgical outcomes. We aimed to evaluate the impact of an advanced haemodynamic monitoring (AHDM) algorithm on achieving a textbook outcome in patients undergoing hepatobiliary-pancreatic surgery. Methods: This retrospective, multicentre observational study was conducted across private and public teaching sectors in Victoria, Australia. We studied patients managed by a patient-specific, surgery-specific haemodynamic algorithm or via usual care. The primary outcome was the effect of using a patient-specific, surgery-specific AHDM algorithm for achieving a textbook outcome, with adjustment using propensity score matching. The textbook outcome criteria were defined according to the International Expert Delphi Consensus on Defining Textbook Outcome in Liver Surgery and Nationwide Analysis of a Novel Quality Measure in Pancreatic Surgery. Results: Of the 780 weighted cases, 477 (61.2%, 95% CI: 57.7%-64.6%) achieved the textbook outcome. Patients in the AHDM group had a higher rate of textbook outcomes [ Conclusions: AHDM use was associated with improved outcomes, supporting its integration in hepatobiliary-pancreatic surgery. Prospective trials are warranted to further evaluate the impact of this AHDM algorithm on achieving a textbook impact on long-term outcomes.

Indexed as

algorithmcomplicationshaemodynamichepatobiliary–pancreaticsurgerytextbook outcome

Identifiers

PMID38859998
PMCPMC11163073

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.